Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $92.92 / $166.53	Facility		$92.92	$92.92	$166.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $26.05 / $298.00	Professional		$14.40	$26.05	$298.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $27.68 / $28.90 / $37.79	Professional	CQ	$27.68	$28.90	$37.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64,999.99 / $81,499.99 / $94,999.99	Facility		$64,999.99	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $51.53 / $51.53	Professional		$48.95	$51.53	$51.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $56.86 / $56.86	Facility		$51.53	$56.86	$56.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $43.80 / $51.53	Professional		$27.63	$43.80	$51.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $32.02 / $56.86	Facility		$23.93	$32.02	$56.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $44.46 / $61.62	Professional		$31.05	$44.46	$61.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $35.01 / $35.53	Professional		$31.34	$35.01	$35.53